Provider Demographics
NPI:1851482343
Name:ROUCH, MELANIE LYNNE (MSW, LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:LYNNE
Last Name:ROUCH
Suffix:
Gender:F
Credentials:MSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 475 BOX 1253
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09036
Mailing Address - Country:DE
Mailing Address - Phone:0972-196-6276
Mailing Address - Fax:
Practice Address - Street 1:U.S. ARMY HEALTH CLINIC-SCHWEINFURT
Practice Address - Street 2:ATTN: CREDENTIALS OFFICE
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09033
Practice Address - Country:DE
Practice Address - Phone:01149-931-8043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD111501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical